IndividualActive
Brian Tucker, PSY.D.
NPI 1902095185 · Psychologist · Portland, OR
Provider details
- NPI number
- 1902095185
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PSY22117 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1020 Sw Taylor St Ste 670
Portland, OR 97205-2526
Phone: (971) 801-9855
Fax: (866) 470-1615
Approximate (ZIP-level) locationGet directions
Mailing address
1020 Sw Taylor St Ste 670
Portland, OR 97205-2526
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.